Disparities in Mortality and Morbidity in Pediatric Asthma Hospitalizations, 2007 to 2011

Academic Pediatrics
Alexander F GlickLeonardo Trasande

Abstract

Asthma is a leading cause of pediatric admissions. Although several factors including race have been linked to increased overall asthma morbidity and mortality, few studies have explored factors associated with inpatient asthma outcomes. We examined factors associated with mortality and morbidity in children admitted for asthma. Data were obtained from the US Nationwide Inpatient Sample for 2007 to 2011. Patients 2 to 18 years old with a primary diagnosis of asthma were included. Predictor variables were sociodemographic and hospital factors and acute/chronic secondary diagnoses. Outcomes were mortality, intubation, length of stay (LOS), and costs. Weighted national estimates were calculated. Multivariable analyses were performed. There were 97,379 (478,546 weighted) asthma admissions. Most patients were male (60.6%); 30% were white, 28% black, and 18% Hispanic. Mortality rate was 0.03%, and 0.3% were intubated. Median LOS was 2 (interquartile range, 1-3) days. Median costs were $2,950 (interquartile range, $1990-$4610). Native American race, older age (13-18 years), and West region were significant independent predictors of mortality. Intubation rate was lower in Hispanic compared with white children (P = .028). LOS was shorte...Continue Reading

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Citations

Jan 12, 2017·Hospital Pediatrics·K Casey LionRita Mangione-Smith
Jan 16, 2019·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Jean-Marie BruzzeseLusine Poghosyan
Apr 17, 2019·Pediatric Blood & Cancer·Sarah B WhittleHeidi V Russell
Oct 3, 2020·Patient Education and Counseling·Jean-Marie BruzzeseJames M Thomas
Aug 13, 2021·Immunologic Research·Asmaa KamalChristine W S Basanti
Mar 15, 2020·Pediatrics·Anna M CushingKenneth A Michelson
Jul 3, 2019·Pediatrics·Rie Sakai-BizmarkKenny Y Kwong

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